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History of Berkshire Health Partners (BHP)

BHP, formally Berkshire Health Plan and Berkshire Health Systems, was founded in 1986 not only as a Preferred Provider Organization (PPO) spanning Berks, Montgomery, Schuylkill and Northern Lancaster counties in PA, but also as a locally based and operated contracting vehicle for relationships with other insurance products. Initially, the organization provided managed care services under PPO arrangements to a number of self-funded groups in the Berks County area in conjunction with a Third-Party Administrator (TPA). Utilization Management was outsourced.

In 1988, BHP formed Medicus, A Health & Lifestyle Management Company, a wholly-owned subsidiary, to provide medical management services for its block of business. Since then, Medicus has provided utilization management and case management services to BHP clients, as well as to other networks both regionally and nationally.

In 2002, BHP successfully launched its Short-Term Disability and Family Medical Leave of Absence (FMLA) Case Management Program to assist employers in the administration of these benefit programs.

In 2008, BHP & Valley Preferred collaborated to offer self-funded employer groups access to their combined twelve-county service area in Central Pennsylvania, providing another network alternative for mid-sized & large employer groups.

With over 88,000 covered lives, BHP has been a tremendous success as a fully integrated, non-profit, PPO, which strives for better patient care. The mission of BHP is to provide our community with quality and accessible health care.